Provider Demographics
NPI:1548625718
Name:CONNECTED LIVING INC.
Entity type:Organization
Organization Name:CONNECTED LIVING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BJ
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-308-1331
Mailing Address - Street 1:5321 W ROBERTS AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93722-7737
Mailing Address - Country:US
Mailing Address - Phone:619-851-9144
Mailing Address - Fax:888-979-9803
Practice Address - Street 1:803 J ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95814-2503
Practice Address - Country:US
Practice Address - Phone:906-308-1331
Practice Address - Fax:877-500-4243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-15
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility